<style>
    [name=address] {
        width: 200px;
    }
</style>
<div class="layui-form" lay-filter="layuiadmin-form-admin" style="padding: 20px 30px 0 0;">

    <div class="layui-form-item">
        <label class="layui-form-label">部门名称</label>
        <div class="layui-input-inline">
            <script type="text/html" template>
                <input type="text" name="departmentName" value="{{ d.params.departmentName || '' }}" lay-verify="departmentName" autocomplete="off" class="layui-input">
            </script>
        </div>
    </div>

    <div class="layui-form-item">
        <label class="layui-form-label">电话</label>
        <div class="layui-input-inline">
            <script type="text/html" template>
                <input type="tel" name="phone" value="{{ d.params.phone || '' }}" lay-verify="phone" autocomplete="off" class="layui-input">
            </script>
        </div>
    </div>
    <div class="layui-form-item">
        <div class="layui-inline">
            <label class="layui-form-label">e-mail</label>
            <div class="layui-input-inline" style="width: 100px;">
                <script type="text/html" template>
                    <input type="eMail" name="email" value="{{ d.params.email || '' }}" lay-verify="email" autocomplete="off" class="layui-input">
                </script>
            </div>
        </div>
    </div>
    <div class="layui-form-item">
        <label class="layui-form-label">地址</label>
        <div class="layui-input-inline">
            <script type="text/html" template>
                <input type="text" name="address" value="{{ d.params.address || '' }}" lay-verify="address" autocomplete="off" class="layui-input">
            </script>
        </div>
    </div>
    <div class="btn-five" style="margin-left: 110px;">
        <div class="layui-input-inline">
            <input type="button" id="okbtn" lay-submit lay-filter="LAY-user-front-submit" value="确认" class="layui-btn">
        </div>
    </div>
</div>